Individual
ANGELA MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 PLAZA WAY NW, MARIETTA, GA 30060-1141
(770) 900-7202
Mailing address
2460 ARCADIA DR NW, ACWORTH, GA 30101-6201
(770) 900-7202
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
114
GA
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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